Abstract
This article was migrated. The article was not marked as recommended. Introduction Singapore had an apprentice style medical specialization training program until 2010 when it adopted an ACGME certified residency training program. A recent survey showed Singapore psychiatry residents rating their educational environment worse than non-residency psychiatry trainees. To confirm these findings we repeated a 2008 survey of perceived importance and adequacy of 11 aspects of psychiatric training among psychiatry trainees in Singapore. Methods We sent out an electronic survey to all psychiatry trainees in Singapore (residents and non-residents) to rate their perceived importance and adequacy on 11 aspects of psychiatric training on a 5 point Likert scale. Results were analyzed with paired or independent t-test analysis as appropriate with p-values at 0.05. Results The survey was conducted from Apr to Aug 2013 with a response rate of 57.9% (N=44). The perceived adequacy of training was significantly better in 2013 than 2008 with 6 of 11 aspects of training rated higher in 2013. Residents had higher ratings in 16 of 19 significant between group differences of perceived adequacy of training. Conclusions A competency based style residency program has resulted in improved perceived adequacy of psychiatric training compared to an apprentice style program. Further research to assess objective adequacy of psychiatric training under the residency program is recommended.
Highlights
Singapore had an apprentice style medical specialization training program until 2010 when it adopted an Accreditation Council for Graduate Medical Education (ACGME) certified residency training program
Almost all hospitals in Singapore are Joint Commission International certified and it is the first country outside the United States to have an Accreditation Council for Graduate Medical Education (ACGME) certified residency training program since 2010
The perceived importance of different aspects of psychiatric training were very similar between 2008 and 2013 with 9 of 11 aspects not being statistically different and the 2 statistically significant differences being in different directions
Summary
Singapore had an apprentice style medical specialization training program until 2010 when it adopted an ACGME certified residency training program. A recent survey showed Singapore psychiatry residents rating their educational environment worse than non-residency psychiatry trainees To confirm these findings we repeated a 2008 survey of perceived importance and adequacy of 11 aspects of psychiatric training among psychiatry trainees in Singapore. Areas of dissatisfaction included purported strengths of the residency program like protected educational time and accessibility to their clinical teachers, even compared to the non-residency trainees If confirmed these findings have major ramifications for psychiatric training in Singapore and possibly for the increasingly dominant competency based medical education movement (Iobst et al, 2010) which has come under attack for demotivating trainees, decreasing educational content (Leung, 2002) with a focus on a minimum acceptable level of skill (Talbot, 2004). We hypothesize that the residents will have higher perceived adequacy of training due to their more structured and competency based training program, and equivalent perceived importance scores for psychiatric training compared to other trainees
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